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Provides a comprehensive, practical approach to fully integrating people with serious mental illnesses into the community. Drawing from a range of resources, including mental health consumers and their families, this pathbreaking work lays the groundwork for a critical rethinking of how we view people labeled "mentally ill". Defining "community integration," the author examines current and past approaches to meeting the needs of people with psychiatric disabilities, demonstrating how they have been inadequate. Carling then maps out a pioneering paradigm for community integration, which consists of an active partnership among mental health professionals, community leaders, policy makers, families, neighbors, employers, and realtors. Describing ways to prepare the community to organize for change, the book discusses the need to first address the pervasive nature of stigma, which is reflected at every level of society. Drawing from his own extensive experience, as well as from firsthand observations of model programs in place throughout the U.S., Canada, Europe, and Australia, the author offers detailed guidance for organizing a program of action in mental health systems and in local communities.
In late 2003, inspired by the recommend. of the Pres.¿s New Freedom Comm. on Mental Health, the Bazelon Center for Mental Health Law undertook a study of board & care homes for people with psychiatric disabilities. A draft report was produced, then on Nov. 18 & 19, 2004, the Bazelon Center hosted a nat. strategy meeting to discuss the findings. This final report incorp. the discussion & recommend. from the Nov. 2004 meeting. It discusses the impact of short-term quality improvement measures in the use of board & care homes. It also calls for a fresh approach to providing housing for people with psychiatric disabilities -- a recovery-oriented approach that revolves around the principles of consumer self-direction & community integration.
Housing, Citizenship, and Communities for People with Serious Mental Illness provides the first comprehensive overview of the field. The book covers theory, research, practice, and policy issues related to the provision of housing and the supports that people rely on to get and keep their housing.
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
Humans are social animals and, in general, don’t thrive in isolated environments. Homeless people, many of whom suffer from serious mental illnesses, often live socially isolated on the streets or in shelters. Homelessness, Housing, and Mental Illness describes a carefully designed large-scale study to assess how well these people do when attempts are made to reduce their social isolation and integrate them into the community. Should homeless mentally ill people be provided with the type of housing they want or with what clinicians think they need? Is residential staff necessary? Are roommates advantageous? How is community integration affected by substance abuse, psychiatric diagnoses, and cognitive functioning? Homelessness, Housing, and Mental Illness answers these questions and reexamines the assumptions behind housing policies that support the preference of most homeless mentally ill people to live alone in independent apartments. The analysis shows that living alone reduces housing retention as well as cognitive functioning, while group homes improve these critical outcomes. Throughout the book, Russell Schutt explores the meaning and value of community for our most fragile citizens.
Ce document veut réunir les informations sur la recherche et la pratique dans le champs du diagnostic double ou la personne rencontre des difficultés comme la déficience intellectuelle et des problèmes psychiatriques. Orienté vers une approche issue de la communauté et de la vie autonome, ce document analyse les éléments composants la distribution des services résidentiels, le développement de la personnalité, la compétence sociale, l'adaptation sociale et la vie autonome en générale dans la communauté